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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMF <br /> 600 E MAIN STREET ` <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Amount ID AR 00173 11 <br /> LONEENWEMOMMEN <br /> Facility ID FA0 110341 <br /> Date Punted 1/28/2008 <br /> LUMMENEEMOMMEEM <br /> KRAGEN AUTO PARTS#1144 RE : KRAGEN AUTO PARTS#1144 <br /> <br /> STOCKTON, CA 95207 <br /> OWNER : CKS AUTO INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170493--Date of Invoice: 1/25/2008 IIIIII IIIVIIIVIIIVIIIIIIIIVIIVIVIIIVIIIIIIIII IIIIIIIIIIIII <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 285.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 522.00 <br /> Payment Due Date 2/2712008 <br /> TOTAL DUE this Billing Period $ 522.0 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 1 2008 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For DES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />